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NPI Code Detail

MEDICARE: RONICA MORRIS

MEDICARE: RONICA MORRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1790072635
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONICA MORRIS
Provider Business Mailing Address
First Line : 7120 FRANKLIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-3002
Country : US
Telephone Number : 323-876-0550
Fax Number :
Provider Business Practice Location Address
First Line : 7160 FRANKLIN AVE. AVIVA FAMILY AND CHILDREN
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-3002
Country : US
Telephone Number : 323-876-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 03/19/2015

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